Department of Hematology Oncology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Dig Dis Sci. 2019 Feb;64(2):391-400. doi: 10.1007/s10620-018-5339-2. Epub 2018 Oct 28.
Colorectal cancer (CRC) screening is cost-effective and prevents death from CRC if used appropriately. Physicians do not recommend CRC screening according to guidelines. Physician-related factors associated with CRC screening knowledge are unknown.
We tested the accuracy of CRC screening knowledge in a nationwide cohort of practicing and trainee physicians and assessed respondent's interest in a mobile app to improve appropriate CRC screening use.
An electronic survey was emailed to practicing gastroenterology professionals and medical and surgical trainees. We assessed accuracy of responses compared to CRC screening and surveillance guidelines. We assessed factors associated with higher accuracy of knowledge, frequency of workplace smartphone use, and interest in a smartphone app to aid CRC screening and surveillance recommendations.
In total, 1432 responses were received. Hundred percent accuracy was noted in 22% of respondents for screening and 37% for surveillance. Factors associated with higher accuracy of screening guidelines included more recent training completion; academic practice; performing 21-100 colonoscopies per month (vs. < 21 or > 100). Higher accuracy of surveillance guidelines was associated with more recent training completion; academic practice; being a third-year fellow. In total, 53% use smartphones at least "often" in patient care. In total, 87% would use a CRC screening and surveillance smartphone app.
Accuracy in applying CRC screening guidelines by gastroenterologists is poor. Smartphone use for patient care is prevalent. Our data show a high interest in a CRC screening/surveillance mobile app. Mobile tools appear an opportunity for rapid access and an increased adherence to CRC screening guidelines.
结直肠癌（CRC）筛查具有成本效益，如果使用得当，可以预防 CRC 导致的死亡。然而，医生并未根据指南推荐 CRC 筛查。与 CRC 筛查知识相关的医生因素尚不清楚。
我们在全国范围内的执业医师和实习医师队列中测试了 CRC 筛查知识的准确性，并评估了受访者对改善适当 CRC 筛查使用的移动应用程序的兴趣。
我们向从事胃肠病学的专业人员以及内科和外科实习医生发送了电子调查。我们评估了与 CRC 筛查和监测指南相比，受访者回答的准确性。我们评估了与更高知识准确性相关的因素、工作场所智能手机使用频率，以及对帮助 CRC 筛查和监测建议的智能手机应用程序的兴趣。
共收到 1432 份回复。22%的受访者在筛查方面达到了 100%的准确率，37%的受访者在监测方面达到了 100%的准确率。与更高的筛查指南准确性相关的因素包括最近的培训完成情况、学术实践、每月进行 21-100 次结肠镜检查（与<21 次或>100 次相比）。更高的监测指南准确性与最近的培训完成情况、学术实践、三年级研究员有关。共有 53%的人在患者护理中至少“经常”使用智能手机。共有 87%的人会使用 CRC 筛查和监测智能手机应用程序。
胃肠病学家在应用 CRC 筛查指南方面的准确性较差。使用智能手机进行患者护理很普遍。我们的数据表明，对 CRC 筛查/监测移动应用程序有很高的兴趣。移动工具似乎为快速访问和提高 CRC 筛查指南的依从性提供了机会。
